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GESTATIONAL DIABETES, Manríquez Jiménez Gabriela 3C Inglés III - Coggle…
GESTATIONAL DIABETES
Treatment
Treatment consists of dietary changes, daily monitoring of blood sugar, a healthy diet, physical exercise, and monitoring of the baby. If the blood sugar level is too high, you need to use medicine.
Clinical case
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Interrogation
Patient with 26 weeks of gestation. She has never been diabetic before her pregnancy, and does not have or report hypertension.
Their diet is high in carbohydrates and lipids. 2-liter fluid intake, nictamero 6 al day x 3 night. No presence of hematuria or proteinuria. Menarche 13 years, menstruation 28x 5. G1P0 at 26 weeks gestation.
Physical examination
Mouth: Mucous hydrated; Extremities and spine: Only encoAnkles with edema, godette; Skin and integuments: Well hydrated; The pelvic examination: Size of the uterine fundus: 29cm; Leopold maneuvers: unique product in Cephalic position, with back on the left side, movable skull in the pelvic cavity; Fetal heart rate:150 lpm.
What is it?
Gestational diabetes starts when the body cannot make or use all the insulin it needs for pregnancy. Without enough insulin, glucose cannot leave the blood and be converted into energy.
Consecuences
For the mother
High blood pressure or preeclampsia, polyhydramnios (increased amniotic fluid), prematurity urinary infection and vaginal yeast infection.
For the baby or fetus
Hypoglycemia at birth (the most common consequence); hypocalcemia fetal immaturity, leading to respiratory distress at birth); fetal macrosomia, very large fetuses that increase obstetric trauma and increase in the number of cesarean sections) and intrauterine death.
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